Engaging Michigan Communities in Deliberations about Medicaid Priorities

描述（由申请人提供）：1。让社区，特别是服务不足的社区，参与对医疗补助资格，覆盖范围和费用分摊的当前和潜在变化的知情审议。在全州以社区为基础的研究伙伴关系的基础上，我们将召集一个指导委员会，包括社区领袖、研究人员、私人健康计划的决策者和密歇根州社区卫生部（MDCH）以及其他利益攸关方。我们将采用一种创新的、屡获殊荣的基于网络的模拟练习，CHAT（CHoosing All Together，usechat.org），个人和团体在有限资源的竞争需求之间进行权衡。Medicaid-CHAT中的选项可能包括覆盖福利的变化;自付支出;人口健康和公共卫生计划;对健康行为的奖励;以及质量改进活动。我们将促进全州的审议，对医疗服务不足的社区进行不成比例的抽样，并平衡地区（城市，郊区，农村和偏远农村）和社会人口特征，确保纳入特定的观点，例如，患有慢性病的人和那些有资格或即将有资格获得医疗补助或双重资格的人。2.准备政策简报，描述密歇根州公民对医疗补助资格，覆盖范围，成本分摊和政策影响的看法。向州领导人、社区领导人、保险公司和其他利益相关者传达社区的医疗补助优先事项和政策含义。3.检查公众参与对参与者的知识，态度和优先事项的影响，并探讨对政策决策的影响。4.评估审议的效果，包括审议程序的一个关键要素-代表性。

DESCRIPTION (provided by applicant): 1. Engage communities, particularly underserved communities, in informed deliberations about current and potential changes to Medicaid eligibility, coverage, and cost-sharing. Building on community-based research partnerships state-wide, we will convene a Steering Committee including community leaders, researchers, decision makers in private healthplans and the Michigan Department of Community Health (MDCH) and other stakeholders. We will adapt an innovative, award-winning web-based simulation exercise, CHAT (CHoosing All Together, usechat.org) in which individuals and groups make tradeoffs between competing needs for limited resources. Options in Medicaid-CHAT may include variations in covered benefits; out-of-pocket spending; population health and public health programs; rewards for healthy behaviors; and quality improvement activities. We will facilitate deliberations throughout the state, disproportionately sampling medically underserved communities and balancing locale (urban, suburban, rural and remote rural) and sociodemographic characteristics, ensuring inclusion of particular perspectives, e.g., those with chronic illness and those who are or will soon be eligible for Medicaid coverage or dually eligible. 2. Prepare policy briefs describing the views of Michigan citizens about Medicaid eligibility, coverage, and cost-sharing and implications for policy. Communicate Medicaid priorities of communities and the policy implications to state leaders, community leaders, insurers, and other stakeholders. 3. Examine the impact of public engagement on participants' knowledge, attitudes, and priorities, and explore the impact on policy decisions. 4. Evaluate the effect of deliberations including a key element of deliberative procedures - representation.